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Perlan Periodontal Suite

Because we’re specialist dentists, your dentist can refer you or you can call us direct.

Information for Patients - Gum Problems and Tooth Sensitivity

What should I do if I think I have a gum problem?

All patients should be regularly screened for the early signs of periodontal disease but if you feel that you have a specific gum problem or you have any of the risk factors listed above, then we recommend a consultation with the Specialist Periodontist.

What if I get gum recession or tooth sensitivity after treatment?

Recession of the gums is an unavoidable side effect of periodontal treatment (see also: Hygienic phase of therapy). In fact, it is a sign of a healing tissue. In gum disease the tissues are usually red and swollen as a result of the bacterial inflammation. After removal of the bacteria, the tissue will heal back to its former firm texture and pale pink colour. However, the final outline of the gums is determined by the underlying bone and this depends on the amount of bone loss that has taken place prior to treatment.

In advanced cases, this may lead to noticeably longer teeth which can also become quite sensitive to cold. The sensitivity is usually temporary and can be treated with fluoride applications if necessary. The shrinkage of the gum, however, is permanent. There are methods by which unsightly gaps between the front teeth can be disguised (e.g. tooth coloured fillings or veneers to adjust the shape of the teeth to the new gum outline).

In any case, we will advise you about the implications and possibilities affecting your dentition prior to carrying out any treatment.

Cosmetic gum surgery is also possible.

There are a number of cosmetic concerns that can be addressed successfully with periodontal (gum) plastic surgery. Situations that may require such correction are:

  • Gummy smile
  • Extremely worn down teeth
  • Gum recession defects (isolated or multiple)
  • Gum recession prevention in conjunction with orthodontic therapy

The approach to solve such defects can vary widely and requires careful examination and treatment planning. Often a combined approach, taking care of the gums but also planning for new fillings, crowns (caps), bridges or dental implants is needed. In this case, collaboration with the other Specialists may be required.

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